Provider Demographics
NPI:1669737243
Name:SALAMAT, ARSALAN (MD)
Entity type:Individual
Prefix:DR
First Name:ARSALAN
Middle Name:
Last Name:SALAMAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 35380
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-5380
Mailing Address - Country:US
Mailing Address - Phone:702-579-3297
Mailing Address - Fax:702-796-2302
Practice Address - Street 1:2300 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2149
Practice Address - Country:US
Practice Address - Phone:702-877-8300
Practice Address - Fax:702-878-3078
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-10
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125061318208600000X
NV20691208600000X
IL036.138098208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036.138098OtherILLINOIS PHYSICIAN LICENSE
NV20691OtherNEVADA STATE MEDICAL LICENSE